Section 0465-01-02-.05 - RATE SETTING METHODOLOGIES FOR RESIDENTIAL AND SUPPORTED LIVING SERVICES(1) Residential Habilitation and Supported Living (Shift-Staffed) Model. (a) For residential services that are shift-staffed, staff coverage is calculated as follows:1. 138 hours per week - 5 days at 18 hours per day and 2 days at 24 hours per day is equal to one week. 2. The unit of service for these residential services is a day.(b) The calculation of the daily cost per person for a Full Time Equivalent (FTE) is:1. Hourly direct support staff wages plus % for benefits for the hourly cost for direct support staff.2. Annual salary for direct supervision plus % for benefits divided by four residents equals the cost per person per year.3. Divide the cost per person per year by 52 weeks and by 138 hours to arrive at the hourly cost for supervision.4. Add together the hourly cost for direct support staff and the hourly cost for supervision.5. Multiply the result from Step four by one and the % allowed for non-direct program costs.6. Multiply the result from Step five by one and the % allowed for administrative costs to arrive at the hourly cost for coverage.7. Multiply the hourly cost for an FTE by 138 hours to arrive at the weekly cost for coverage.8. Divide the weekly cost by 7 days to arrive at the daily cost for coverage.9. Divide the daily cost by allowable FTEs to arrive at the daily FTE cost per person. (c) Calculation for the daily rate per person is:1. For each Rate Level and Home Size, multiply the daily per person FTE cost by the rate level factor.2. Divide the result of Step one by the facility size.3. Multiply the result of Step two by 385 (to allow for 20 absent days).4. Divide the result of Step three by 365 to arrive at the daily rate.(2) Supported Living-Companion Model. (a) For non-shift staffed, companion model the unit of service is a day. The calculations are as follows:(b) Calculate the daily rate per person. 1. Multiply the annual stipend by one and the % for benefits.2. Add the companion room and board allowance.3. Add the number of hours per year at the hourly rate for relief staff divided by 365 days.4. Add costs in steps one through three.5. Multiply the result of step four by one and the % for non-direct program costs.6. Multiply the result of step five by one and the % for administrative costs.7. Divide the result of step six by 365.8. Multiply the result of step seven by 385 (to allow for 20 absent days).9. Divide the result of step eight by 365 to arrive at the daily rate.(3) Family Model for Residential Services. (a) Family Model Residential Services are those provided in a family home under the supervision of a residential services agency. The unit of service is a day.(b) Calculate the daily rate per person. 1. Multiply the annual stipend by one and the % for benefits.2. Add the number of hours per year at the hourly rate for relief staff divided by 365 days.3. Add direct supervision at annual salary plus % for benefits divided by 10 waiver participants divided by 365 days.4. Add costs in steps 1 through 3 above.5. Multiply the result of step four by one and the percent for non-direct program costs.6. Multiply the result of step five by one and the percent for administrative costs.7. Divide the result of step six by 365 days.8. Multiply the result of step seven by 385 days (to allow for 20 absent days).9. Divide the result of step eight by 365 days to arrive at the daily rate.Tenn. Comp. R. & Regs. 0465-01-02-.05
Original rule filed December 12, 2013; effective March 12, 2014. Amendments filed October 7, 2019; effective 1/5/2020.Authority: T.C.A. §§ 4-3-2701, 4-3-2707, 4-4-103, 4-5-201, et seq., 4-5-208, et seq. and its applicable regulations concerning emergency rules, 33-1-201, 33-1-202, 33-1-203(1) and (6), 33-1-204, 33-1-301, 33-1-302, 33-1-302(a)(3) and (a)(4), 33-1-303, 33-1-303(3) and (11), 33-1-304, 33-1-305(1), and 33-1-309(d); Executive Order of the State of Tennessee No. 23, dated October 19, 1999; State of Tennessee Delegated Purchase Authority DP 10-28649-00 Reg. 515; and the "Reimbursement Rate" for Medical Services under DIDD federal waiver(s) for provision of services as administered by TennCare.